The International journal of periodontics & restorative dentistry最新文献

{"title":"The Socket Shield Technique: Stability of the Buccal Peri-implant Bone After Partial Root Removal-A Prospective Case Series of 20 Patients with 18 Months of Follow-up.","authors":"Rutger A L Dhondt, Pierre Lahoud, Manoetjer Siawasch, Ana B Castro, Marc Quirynen, Andy Temmerman","doi":"10.11607/prd.6989","DOIUrl":"10.11607/prd.6989","url":null,"abstract":"<p><p>This study aimed to collect data on implant survival, bone volume maintenance, and complications associated with the socket shield technique. The socket shield technique was introduced in 2010. Since then, several systematic reviews have been published that show good clinical outcomes. So far, the behavior of the buccal bone plate is not completely understood. The present study involved the placement of 23 implants in 20 patients using the socket shield technique. AstraTech EV im- plants were used, and no bone substitutes or connective tissue grafts were applied. Patients were monitored for 18 months, recording implant survival, volumetric bone analysis on CBCT scans, interproximal bone levels, bone sounding, pink esthetic scores, and complications. Prosthetic procedures were also described, including temporary and final restorations. Using the socket shield technique, a cumulative implant survival rate of 95.7% was obtained after 18 months, with a significant but limited reduction in buccal bone thickness (BBT) after implant placement. One implant did not integrate, and two shields were partially exposed. The mean pink esthetic score at 1 year postloading was 12.93 ± 1.22. The study suggests that the socket shield technique can result in a limited reduction of the buccal bone volume, with a high implant survival rate. Reentry studies are recommended to investigate the causes of bone resorption.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"329-339"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontal Tissue Responses to Restorations With and Without a Cervical Finish Line: A Systematic Review and Meta-analysis.","authors":"Karina Espinoza Merchán, Márcio Lima Grossi, Marcel Ferreira Kunrath, Eduardo Rolim Teixeira","doi":"10.11607/prd.7037","DOIUrl":"10.11607/prd.7037","url":null,"abstract":"<p><p>The purpose of this review was to evaluate the periodontal and peri-implant tissue responses to restorative approaches with and without a cervical finish line on teeth and dental implants. An electronic search was performed in PubMed/MEDLINE, Embase, Cochrane Library, LILACS, Web of Science, and Scopus databases and in the gray literature. Controlled clinical trials and prospective cohort studies were included. Analyzed outcomes included Gingival Index (GI), bleeding on probing (BOP), probing depth (PD), gingival thickness (GT), marginal stability (MS), and marginal bone loss (MBL). A meta-analysis was then performed in two parts: The first compared the results of restorations on teeth with and without a cervical finish line, and the second compared results of restorations on implant abutments with and without a cervical finish line. Regarding the tooth-based restoration analysis, 7 out of 1,388 selected articles were included in the systematic review, 2 of which were selected for the meta-analysis. For implant-based restorations on abutments with and without a cervical finish line, 6 out of 707 selected articles were included in the systematic review, with 3 included in the meta-analysis. No significant differences in periodontal and peri-implant indices were identified between either prosthetic approach in situations with and without cervical finish lines.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"413-424"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 13- to 17-Year Retrospective Evaluation of the Clinical Performance of Anterior and Posterior Lithium Disilicate Restorations on Teeth and Implants.","authors":"Giacomo Fabbri, Fernando Zarone, Gianluca Dellificorelli, Giorgio Cannistraro, Marco De Lorenzi, Alberto Mosca, Renato Leone, Roberto Sorrentino","doi":"10.11607/prd.7074","DOIUrl":"10.11607/prd.7074","url":null,"abstract":"<p><p>This retrospective study evaluated the clinical outcomes of lithium disilicate prostheses on teeth and implants. A total of 860 restorations, including crowns, veneers, and onlays, were delivered to 312 patients. Patients with uncontrolled gingival inflammation and/or periodontitis were excluded, while patients with occlusal parafunctions were included. The retrospective observational period ranged between 13 and 17 years. The mechanical and esthetic performance of the restorations were rated according to the modified California Dental Association (CDA) criteria. The recorded data were analyzed statistically. In total, 26 mechanical complications were noticed: 17 ceramic chippings, 5 core fractures, and 4 losses of retention. Mechanical complications occurred predominantly in posterior areas; monolithic prostheses showed the lowest percentage of structural problems. The clinical scores of layered and monolithic restorations were fully satisfactory according to the modified CDA rating. The cumulative survival and success rates ranged from 95.46% to 100% and 93.75% to 100%, respectively, up to the 17-year follow-up. Although patient selection and the rigorous application of validated clinical protocols were considered paramount, the use of lithium disilicate prostheses on teeth and implants was reported to be a viable and reliable treatment option in the long term.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"369-383"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Titanium Pins for the Management and Fixation of Free Gingival Grafts and Apically Repositioned Flaps During Vestibuloplasty: A Technique Report.","authors":"Kai Zwanzig, Samuel Akhondi, Lorenzo Tavelli, Alejandro Lanis","doi":"10.11607/prd.7197","DOIUrl":"10.11607/prd.7197","url":null,"abstract":"<p><p>The presence of adequate keratinized mucosa (KM) around dental implants and natural dentition is pivotal for the long-term success of dental restorations. Despite various techniques to augment KM, challenges persist in achieving stable, keratinized, and adherent mucosa, especially in the context of significant muscle pull or compromised tissue conditions. This study introduces a novel application of titanium pins for the fixation of free gingival grafts (FGGs) and apically repositioned flaps (APFs) during vestibuloplasty, aiming to overcome important limitations associated with traditional suturing methods, shorten the treatment time, and reduce patient morbidity. Three patients with insufficient KM width presented discomfort during oral hygiene care and showed inflammation around implant restorations and natural teeth. These patients underwent soft tissue augmentation using titanium pins-traditionally used in guided bone regeneration-to stabilize the FGGs and APFs. This method ensures intimate contact between the graft and the periosteum, which facilitates proper graft perfusion and revascularization, minimizes shrinkage, and reduces the risk of graft necrosis. A postoperative follow-up revealed successful graft integration, with minimal shrinkage and increased KM width and depth. The use of titanium pins allowed for reliable fixation in challenging surgical sites where traditional suturing methods were impractical due to the presence of extensive muscle pull and an unstable recipient bed. The application of titanium pins for the fixation of FGGs and APFs during vestibuloplasty provides a promising alternative to traditional suturing techniques, particularly in complex cases where the recipient bed is suboptimal for suturing. This method simplifies and shortens the procedure, offering a predictable outcome with increased mechanical stability and minimal graft shrinkage. Randomized clinical trials are recommended to further evaluate the efficacy of this technique.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"395-405"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontal Behavior of Teeth with Noncarious Cervical Lesions Restored with a New BOPT Approach Using Composite Resins: A 1- Year Prospective Clinical Study.","authors":"Rubén Agustín-Panadero, Carolina Agus, Ignazio Loi, Blanca Serra-Pastor, Jorge Alonso Pérez-Barquero, Martín Laguna Martos, Naia Bustamante-Hernández, Carla Fons-Badal","doi":"10.11607/prd.7554","DOIUrl":"https://doi.org/10.11607/prd.7554","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to examine the behavior and volumetric changes of periodontal tissues in teeth with cervical non-carious lesions associated with gingival recession and treated with composite resin restorations using conventional and biologically oriented preparation techniques (BOPT) after 12 months of clinical service.</p><p><strong>Material and methods: </strong>A prospective clinical study was conducted to compare the gingival changes following the treatment of non-carious cervical lesions using composite resin and the BOPT approach (test group) with those restoring only the NCCL with a conventional restoration with composite (control group). The pre-treatment and 12-month post-treatment records included the following variables: plaque index (PI), gingival index (GI), gingival recession, probing depth, intraoral scan, and digitally calculated gingival thickness. The pre- and post-treatment scan files were subjected to software analysis to compare the dimensional gingival changes that occurred following treatment in both groups.</p><p><strong>Results: </strong>A one-year follow-up revealed a coronal gingival migration of 0.38 ± 0.49 mm in the control group and 1.16 ± 0.73 mm in the BOPT group (P<0.001). Additionally, the change in gingival thickness was -0.16 ± 0.23 mm in the control teeth and 0.35 ± 0.15 mm in BOPT teeth (P< 0.001). The periodontal parameters evaluated at baseline were found to be comparable between the two groups. Following treatment by both techniques, the periodontal health status remained unaltered.</p><p><strong>Conclusions: </strong>The BOPT technique, associated with cervical composite restorations for non-carious lesions, produces a recovery of the gingival tissue. There was a significant coronal gingival migration, as well as a horizontal thickening of the gingiva around the cervical emergence of the restoration. The BOPT approach using composite resins to treat NNCL is a predictable technique that offers biological advantages to the surrounding gingiva and achieves gingival stability.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vital Root Resection for Management of Furcation Involvement in a Mandibular Molar with Radix Entomolaris: A Case Report.","authors":"Norihisa Watanabe, Akira Hasuike, Taito Watanabe, Shuichi Sato","doi":"10.11607/prd.7655","DOIUrl":"https://doi.org/10.11607/prd.7655","url":null,"abstract":"<p><p>Treatment of Class III furcation defects involving the supernumerary third roots (radix entomolaris, RE) of mandibular first molars is challenging. A 44-year-old non-smoking Japanese woman presented with discomfort in the mandibular left first molar. A Nabers probe was used to assess furcation involvement, and horizontal probe penetration from the mid-lingual to distolingual region of the furcation was observed. Cone-beam computed tomography revealed a distolingual RE with significant bone destruction around it, indicative of a through-and-through furcation defect. A treatment approach, known as vital root resection, which combined vital pulp therapy and surgical root resection, was implemented. First, deep pulpotomy was performed using mineral trioxide aggregate. Surgical root resection performed 8 weeks later resulted in a marked reduction in the pocket depth and resolution of the furcation defect. Clinical and radiographic evaluations at the 3-year follow-up demonstrated a stable periodontal condition and preserved pulpal vitality, highlighting the effectiveness of this approach. This conservative treatment may be particularly relevant for Asian populations, in whom the prevalence of RE is up to 40%. Although the initial results are promising, further research with larger sample sizes and extended follow-up periods is necessary to establish standardized protocols and evaluate the long-term predictability of this technique.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate Re-Implantation Protocol (iRIP) - Case Report and Proof of Principle.","authors":"Alex Solderer, Chun Ching Liu, Patrick R Schmidlin","doi":"10.11607/prd.7660","DOIUrl":"https://doi.org/10.11607/prd.7660","url":null,"abstract":"<p><strong>Background: </strong>This case highlights a novel approach to managing a failing implant in the maxillary posterior region, emphasizing the simultaneous approach of implant removal, immediate implant placement and bone reconstruction by guided bone regeneration (GBR).</p><p><strong>Case presentation: </strong>A 39-year-old male presented with a failing implant at position #15 due to peri-implantitis, characterized by bleeding on probing, suppuration, and inflammation, with probing pocket depths (PPD) of up to 9 mm. Radiographic assessment revealed significant periimplant bone loss, with only 4 mm of residual osseointegration. Pre-surgical 3D planning ensured precise implant positioning, avoiding sinus perforation and optimizing stability. During surgery, the failing implant was removed using minimally traumatic techniques, and a new tissue-level implant was immediately placed, achieving a primary stability torque of 27 Ncm. The circumferential bone defect was treated with deproteinized bovine bone mineral combined with hyaluronic acid and covered with a resorbable collagen membrane to initiate bone reconstruction. The implant site was submerged, and healing was uneventful. Three months post- surgery, the implant was uncovered, and a screw-retained monolithic zirconia crown was placed, restoring masticatory function and esthetics. At the 12-months follow-up appointment the patient presented a healthy implant site and no remaining bone defect.</p><p><strong>Conclusions: </strong>The approach achieved successful osseointegration, significant clinical and radiographic improvements and stability after 12 months. The approach achieved successful osseointegration, significant clinical and radiographic improvements and stability after 12 months. This case highlights the potential of a protocol achieving immediate resolution of peri-implantitis by the use of a new sterile implant.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontal Behavior of Full-Coverage Restorations Using a Biologically Oriented Preparation Technique (BOPT): A 10-Year Prospective Clinical Study.","authors":"Rubén Agustín-Panadero, Ignazio Loi, Carla Fons-Badal, Martín Laguna-Martos, Arturo Llobell-Cortell, Blanca Serra-Pastor","doi":"10.11607/prd.7581","DOIUrl":"https://doi.org/10.11607/prd.7581","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this prospective longitudinal 10-year follow-up study is to assess periodontal and prosthodontic parameters in zirconia restorations on teeth prepared with the biologically oriented preparation technique (BOPT).</p><p><strong>Materials and methods: </strong>A 10-year follow-up analysis was conducted on cases of fixed prosthesis retreatment using BOPT in the anterior sector. The selected sample was divided into two groups, comprising single-unit crowns and fixed partial dentures, respectively. Additionally, a control group consisting of antagonist teeth that had not undergone prosthodontic treatment was included. The following periodontal parameters were recorded on an annual basis: gingival margin stability, gingival index, plaque index, and probing depth. Furthermore, other parameters, including gingival thickness, biological and mechanical complications, and patient satisfaction were also examined.</p><p><strong>Results: </strong>A total of 33 patients with 91 abutment teeth were recalled after a 10-year follow-up period. Of these, 39 were single-unit crowns and 52 were fixed partial denture abutments (FPDs). An increase in gingival thickness was observed during the initial three-year period, followed by stabilization at the 10- year follow-up. A comparison of the BOPT abutments with their antagonists revealed a significantly greater gingival thickness (p<0.001). Additionally, the gingival margin and pocket depth exhibited stability. Conversely, there was an increase in the gingival index (p=0.022) and plaque index (p=0.013). No significant difference was identified in the parameters assessed between single-unit crowns and FPD abutments.</p><p><strong>Conclusions: </strong>The results of the long-term (10- year) follow-up investigation of fixed prosthetic restorations executed with the biologically oriented preparation technique (BOPT) demonstrate favorable periodontal and prosthodontic outcomes.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Dual-Layer Flap Preparation Approach Utilizing External Coronally Advanced Flap and Internal Trapdoor Periosteal Flap for Endodontic Microsurgery in the Esthetic Zone: Technique and Case Report.","authors":"Po-Jan Kuo, Sung-Chih Hsieh, Tien-Chun Kuo, Wan-Chun Wen, Tsung-Hsun Wu, Jonathan H Do","doi":"10.11607/prd.7648","DOIUrl":"https://doi.org/10.11607/prd.7648","url":null,"abstract":"<p><p>Endodontic microsurgery (EMS) is often utilized to surgically treat teeth with persistent endodontic lesions when conventional non-surgical endodontic treatments have been unsuccessful. However, EMS with conventional techniques may result in esthetic concerns, such as gingival recession, loss of papilla, and soft tissue scarring, especially in patients with high esthetic demand. This manuscript describes a dual-layer flap preparation approach that utilizes an external coronally advanced flap (CAF) and an internal trapdoor periosteal flap (TPF) for EMS in the esthetic zone. The external CAF is a split-full-split-thickness flap that allows the gingival margin to be coronally advanced over the cementoenamel junction or prosthetic margin to mitigate any potential gingival recession due to flap retraction or to treat existing gingival recession. The internal TPF is the periosteal elevation of the partial-thickness tissue that remained following the elevation of the external CAF. The internal TPF employs vertical release(s) to obtain adequate access for periapical surgery. Sites treated with this approach healed with no complications, minimal patient discomfort, no facial recession or loss of papilla, and minimal soft tissue scarring. Therefore, the dual-layer flap preparation approach is suggested as a viable flap design for EMS in the esthetic zone.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explantation Techniques of Osseointegrated Dental Implants. An Updated Systematic Review.","authors":"Pablo Urrutia, Sebastián Bravo, Gustavo Sáenz-Ravello, Daniel Torres-Lagares, Lorenzo Tavelli, Leonardo Díaz","doi":"10.11607/prd.7531","DOIUrl":"https://doi.org/10.11607/prd.7531","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}